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NPI Code Detail

MEDICARE: DIANE ESTRADA

MEDICARE: DIANE ESTRADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist117206CA
2106H00000XMarriage & Family Therapist
3225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1801933999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE ESTRADA
Provider Business Mailing Address
First Line : PO BOX 31
Second Line :
City : EL CENTRO
State : CA
Zip : 92244-0031
Country : US
Telephone Number : 760-618-1355
Fax Number :
Provider Business Practice Location Address
First Line : 2271 ALPINE BLVD STE A
Second Line :
City : ALPINE
State : CA
Zip : 91901-1101
Country : US
Telephone Number : 888-688-0248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 10/11/2024

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Directions to “ DIANE ESTRADA ” Practice Location

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